1
 

 
 
APPLICATION FOR MEMBERSHIP
 
1. Name under which Company is Registered: Reg No:
VAT No:
 
2. Name under which Applicant trades:
 
3. Business Street Address:
Code:
Postal Address:
Code:
 
4. Telephone:
(B) (F) (CELL) (H)
E-mail Address: Website Address:
 
5. Nature of business & type of work undertaken:
 
6. Period in existence / Date business opened:
 
7. Name of the Proprietors, Partners, Directors or Members:
 
8. Name of person who will represent applicant at meeting:
 
9. Is the Applicant a member of any other Association Affiliated to the Master Builders South Africa (MBSA)
Yes No If so, which Association:
 
10. Has the Applicant at any time been refused membership of this Association or any Association referred to in point 9 above:
Yes No If so state when and by which Association:
 
11. Has the Applicant or any of the Directors (in case of a Company) ever been insolvent or ever made any assignment or Arrangement with creditors or been the Managing Director of any Company which has been placed in liquidation or has made any such assignment with creditors.
Yes No If YES give brief detail:
 
12. Please submit thee following particulars regarding the number of employees in your employ:
ARTISANS:
APPRENTICES:
GENERAL WORKERS:
OTHER (state):
 
13. Is the Applicant's business registered in terms of:
*AGREEMENT FOR THE BUILDING INDUSRTY BARGAINING COUNCIL Yes No
Employer Registration No:  
 
*COMPENSATION FOR ACCUPATIONAL INJURIES & DISEASES ACT (W.C.A) Yes No
Registration No:  
 
*UNEMPLOYMENT INSURANCE FUND (U.I.F) Yes No
Registration No:  
 
*SARS - Tax Registration No: Yes No
 
*NHBRC - Registration No: Yes No
 
CIDB Registration No: Category Yes No
 
 
 
 
 
 
 
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